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Hilar cholangiocarcinomas - from nihilism to aggressive treatment

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dc.contributor.author Liyanage, C.
dc.contributor.author Nawaratne, M.
dc.contributor.author Pathirana, A.
dc.contributor.author Gunasekara, D.
dc.contributor.author Pranahewa, L.
dc.contributor.author Prasad, R.
dc.contributor.author Wijeratne, T.
dc.contributor.author Bogammana, M.
dc.contributor.author Wijesooriya, R.
dc.contributor.author Siriwardhana, R.
dc.date.accessioned 2019-02-20T09:01:51Z
dc.date.available 2019-02-20T09:01:51Z
dc.date.issued 2012
dc.identifier.citation The Annual Sessions of the College of Surgeons of Sri Lanka .2012, p. 260 en_US
dc.identifier.uri http://repository.kln.ac.lk/handle/123456789/19960
dc.description Poster Presentation Abstract (39), 41st Annual Academic Sessions of the College of Surgeons of Sri Lanka jointly held with the royal college of surgeons of Edinburgh, 15th -18th August 2012 Colombo, Sri Lanka. en_US
dc.description.abstract INTRODUCTION: Hllar-Cholangio-carcinomas (HCC) are aggressive tumours with a dismal prognosis. The general tendency amongst all specialities is to palliate them. As response to adjuvant therapy is marginal we have embarked on aggressive management of these patients with the available surgical and endoscopic expertise. METHODS: Patients presenting to the North Colombo Teaching hospital· and the Gastrointerology unit of the National hospital in 2011 were included . All had Tri phasic CT , MRCP or ERCP prior to be discussed at MDT with all the above authors regarding further management. Patients with Bismuth 1 v lesions and unfit for surgery underwent Combination ERCP/doublestenting/RFA of lesion/Rendezvous procedure/Percutaneous, stenting or PTC. RESULTS: 32 patients were treated .5/32 had radical surgical resections (2 extended right hepatectomy with bile duct resecton and lymphadenectomy (BDR+LA), 2 extended left hepatectomy +BDR+LA, and 1 extended heft hepatectomy with BDR+LA+Reconstruction of Right hepatic artery and right portal vein. I underwent segment iii bypass. 7 patients underwent ERCP and serial RFA with stenting. 3/5 patients are alive and disease free at 6-12 months. CONCLUSIONS: Where possible HCC patients should be offered a curative resection. RFA gives longer and better palliation compared to standard stenting. These patients should be managed by a specialized team as aggressive management may improve their survival. en_US
dc.language.iso en en_US
dc.publisher The College of Surgeons of Sri Lanka en_US
dc.subject Hilar cholangiocarcinomas en_US
dc.title Hilar cholangiocarcinomas - from nihilism to aggressive treatment en_US
dc.type Conference abstract en_US


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    Papers presented at local and international conferences by the Staff of the Faculty of Medicine

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